| NPI | 1013097120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J PARKER President 818-546-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA A97912) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CA A92103) |
| 208D00000X General Practice (Licence: CA A52178) | |
| 213E00000X Podiatrist (Licence: CA E4649) | |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2022-05-17 |